| Mr Glen Owen Sallows, PHD, BCBA-D | |
|
1210 Fourier Drive, Suite #100, Madison, WI 53717-1969 | |
| (608) 662-9327 | |
| (608) 662-9041 |
| Full Name | Mr Glen Owen Sallows |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1210 Fourier Drive, Madison, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104993153 | NPI | - | NPPES |
| 1104993153 | Medicaid | WI | |
| 39020200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 823057 (Wisconsin) | Primary |
| 103K00000X | Behavior Analyst | 54-140 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glen Owen Sallows, PHD, BCBA-D 1210 Fourier Drive, Suite #100, Madison, WI 53717-1969 Ph: (608) 662-9327 | Mr Glen Owen Sallows, PHD, BCBA-D 1210 Fourier Drive, Suite #100, Madison, WI 53717-1969 Ph: (608) 662-9327 |
Dr. Elliot Aaron Tebbe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 419 S Mills St, Madison, WI 53715 Phone: 320-339-9992 | |
Dr. Travis Fox, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4513 Vernon Blvd Ste 100, Madison, WI 53705 Phone: 503-730-0072 | |
Blake Bettis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1750 Fordem Ave Apt 704, Madison, WI 53704 Phone: 470-331-2534 | |
Ms. Patricia Ann Hanson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7633 Ganser Way, Ste 204, Madison, WI 53719 Phone: 608-829-1800 Fax: 608-829-1885 | |
Dr. David C. Lee, PHD, JD Psychologist Medicare: Medicare Enrolled Practice Location: 1713 Camelot Dr, Madison, WI 53705 Phone: 608-301-1047 Fax: 608-301-1390 | |
Mr. Harvey Hilbert Honig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave, Ste 220, Madison, WI 53713 Phone: 608-255-9119 Fax: 608-255-9219 | |
Alyssa Walsh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Highland Ave, Madison, WI 53705 Phone: 608-263-3301 |